ICD-10-PCS Code For Left Renal Artery: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 049A includes procedures performed to drain fluids and/or gases from the renal artery in the lower arteries. These ICD-10-PCS codes are used for inpatient documentation when removal of fluid or blood from the left renal artery is performed for therapeutic or diagnostic purposes. Accurate coding within the ICD-10-PCS 049A group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Left Renal Artery Drainage Procedure Overview

Procedures in this group involve drainage of the left renal artery, a component of the lower arterial system supplying the kidney. These drainage procedures remove fluid or blood from the left renal artery to treat or diagnose vascular complications. Accurate coding of these medical and surgical drainage operations is important for inpatient reimbursement because it captures the specific anatomical site and clinical action performed.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
9	Operation	Drainage
A	Body Part	Renal Artery, Left

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ICD-10-PCS Code For Left Renal Artery: Procedure Code Group Overview

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Left Renal Artery Drainage Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
9	Operation	Drainage
A	Body Part	Renal Artery, Left

When to Use

Use codes from this group when an inpatient procedure specifically involves draining fluid or blood from the left renal artery for therapeutic or diagnostic reasons. Do not use these codes for drainage of other renal structures or contralateral arteries.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
049A00Z	Drainage of Left Renal Artery with Drainage Device, Open Approach
049A0ZX	Drainage of Left Renal Artery, Open Approach, Diagnostic
049A0ZZ	Drainage of Left Renal Artery, Open Approach
049A30Z	Drainage of Left Renal Artery with Drainage Device, Percutaneous Approach
049A3ZX	Drainage of Left Renal Artery, Percutaneous Approach, Diagnostic
049A3ZZ	Drainage of Left Renal Artery, Percutaneous Approach
049A40Z	Drainage of Left Renal Artery with Drainage Device, Percutaneous Endoscopic Approach
049A4ZX	Drainage of Left Renal Artery, Percutaneous Endoscopic Approach, Diagnostic
049A4ZZ	Drainage of Left Renal Artery, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An elderly patient on anticoagulation presents to the emergency department with sudden flank pain, hypotension, and a drop in hemoglobin; imaging shows active extravasation from the left renal artery consistent with arterial hemorrhage. The patient is admitted for hemodynamic stabilization and urgent control of the bleeding; a drainage procedure on the left renal artery may be performed to evacuate intravascular or perivascular blood and relieve compressive effects as part of the acute management. Typical codes: 049A3ZZ, 049A30Z
A middle-aged patient with a large left renal artery aneurysm undergoes a planned inpatient endovascular procedure for diagnostic evaluation and decompression prior to definitive repair; percutaneous access is used to aspirate thrombus or fluid from the left renal artery to improve visualization and reduce embolic risk. This elective admission involves image-guided drainage of the left renal artery as a diagnostic and preparatory step before definitive vascular intervention. Typical codes: 049A3ZX, 049A30Z
A hospitalized patient develops postprocedural arterial thrombosis and localized hematoma in the left renal artery following prior renal vascular surgery, resulting in worsening renal perfusion and flank compartment symptoms; surgical drainage is undertaken via an open approach to evacuate blood and relieve arterial compromise while addressing the complication. Typical codes: 049A00Z, 049A0ZZ

Related Codes

0490-ABDOMINAL-AORTA-DRAINAGE

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

0491-CELIAC-ARTERY-DRAINAGE

ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

0492-GASTRIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

0493-HEPATIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Hepatic Artery: Procedure Code Group Overview

0494-SPLENIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Splenic Artery: Procedure Code Group Overview

0495-SUPERIOR-MESENTERIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

0496-COLIC-ARTERY-RIGHT-DRAINAGE

ICD-10-PCS Code For Colic Artery Right: Procedure Code Group Overview

0497-LEFT-COLIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Colic Artery, Left: Procedure Code Group Overview

0498-COLIC-ARTERY-MIDDLE-DRAINAGE

ICD-10-PCS Code For Colic Artery, Middle: Procedure Code Group Overview

0499-RENAL-ARTERY-RIGHT-DRAINAGE

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
049A00Z	Drainage of Left Renal Artery with Drainage Device, Open Approach
049A0ZX	Drainage of Left Renal Artery, Open Approach, Diagnostic
049A0ZZ	Drainage of Left Renal Artery, Open Approach
049A30Z	Drainage of Left Renal Artery with Drainage Device, Percutaneous Approach
049A3ZX	Drainage of Left Renal Artery, Percutaneous Approach, Diagnostic
049A3ZZ	Drainage of Left Renal Artery, Percutaneous Approach
049A40Z	Drainage of Left Renal Artery with Drainage Device, Percutaneous Endoscopic Approach
049A4ZX	Drainage of Left Renal Artery, Percutaneous Endoscopic Approach, Diagnostic
049A4ZZ	Drainage of Left Renal Artery, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An elderly patient on anticoagulation presents to the emergency department with sudden flank pain, hypotension, and a drop in hemoglobin; imaging shows active extravasation from the left renal artery consistent with arterial hemorrhage. The patient is admitted for hemodynamic stabilization and urgent control of the bleeding; a drainage procedure on the left renal artery may be performed to evacuate intravascular or perivascular blood and relieve compressive effects as part of the acute management. Typical codes: 049A3ZZ, 049A30Z
A middle-aged patient with a large left renal artery aneurysm undergoes a planned inpatient endovascular procedure for diagnostic evaluation and decompression prior to definitive repair; percutaneous access is used to aspirate thrombus or fluid from the left renal artery to improve visualization and reduce embolic risk. This elective admission involves image-guided drainage of the left renal artery as a diagnostic and preparatory step before definitive vascular intervention. Typical codes: 049A3ZX, 049A30Z
A hospitalized patient develops postprocedural arterial thrombosis and localized hematoma in the left renal artery following prior renal vascular surgery, resulting in worsening renal perfusion and flank compartment symptoms; surgical drainage is undertaken via an open approach to evacuate blood and relieve arterial compromise while addressing the complication. Typical codes: 049A00Z, 049A0ZZ

Related Codes

0490-ABDOMINAL-AORTA-DRAINAGE

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

0491-CELIAC-ARTERY-DRAINAGE

ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

0492-GASTRIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

0493-HEPATIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Hepatic Artery: Procedure Code Group Overview

0494-SPLENIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Splenic Artery: Procedure Code Group Overview

0495-SUPERIOR-MESENTERIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

0496-COLIC-ARTERY-RIGHT-DRAINAGE

ICD-10-PCS Code For Colic Artery Right: Procedure Code Group Overview

0497-LEFT-COLIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Colic Artery, Left: Procedure Code Group Overview

0498-COLIC-ARTERY-MIDDLE-DRAINAGE

ICD-10-PCS Code For Colic Artery, Middle: Procedure Code Group Overview

0499-RENAL-ARTERY-RIGHT-DRAINAGE

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Left Renal Artery: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Left Renal Artery: Procedure Code Group Overview policy alerts

Left Renal Artery Drainage Procedure Overview

Code Attributes

ICD-10-PCS Code For Left Renal Artery: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Left Renal Artery: Procedure Code Group Overview policy alerts

Left Renal Artery Drainage Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers drainage procedures for the left renal artery?

What are the approach and device variations listed in the 049A code group?

How does accurate coding within 049A affect inpatient reimbursement?

What ICD-10-PCS attributes define the 049A code group?

Which DRGs are related to procedures in the 049A left renal artery drainage group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers drainage procedures for the left renal artery?

What are the approach and device variations listed in the 049A code group?

How does accurate coding within 049A affect inpatient reimbursement?

What ICD-10-PCS attributes define the 049A code group?

Which DRGs are related to procedures in the 049A left renal artery drainage group?

References